Continuity of care and 5E nursing intervention improve neurological function, quality of life, and prognosis for acute ischemic stroke patients.

OBJECTIVE

To evaluate the effect of continuous nursing combined with comprehensive 5E rehabilitation-based nursing intervention on neurological function, quality of life, and prognosis in patients with acute ischemic stroke (AIS).

METHODS

This retrospective study included 117 AIS patients admitted to TaiHe County People's Hospital between January 2022 and March 2024. Patients receiving routine nursing care from January 2022 to March 2023 were assigned to the conventional care group (56 cases), while those receiving continuous nursing combined with comprehensive 5E rehabilitation-based nursing intervention from March 2023 to March 2024 were assigned to the integrated care group (61 cases). Pre- and post-intervention comparisons were made between the groups regarding neurological function, cognitive ability, physical capability, coagulation status, activities of daily living, quality of life, nursing satisfaction, and prognosis. Additionally, risk factors for poor prognosis in AIS patients were analyzed based on their outcomes.

RESULTS

Prior to intervention, there were no significant differences in neurological function, cognitive function, physical function, coagulation status, daily living ability, or quality of life scores between the two groups (all P>0.05). After intervention, the integrated care group showed significantly better outcomes in neurological function, cognitive function, physical function, coagulation status, daily living ability, quality of life, nursing satisfaction, and prognosis compared to the conventional care group (all P<0.05). Multivariate logistic regression analysis identified older age, high National Institutes of Health Stroke Scale score, elevated serum C-reactive protein and homocysteine levels, and reduced vascular endothelial growth factor levels as risk factors for poor prognosis in AIS patients (all P<0.05).

CONCLUSION

The integration of continuity of care with comprehensive nursing intervention based on the 5E rehabilitation framework effectively addresses the rehabilitation needs of AIS patients, significantly improving neurological function, quality of life, and prognosis.